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Interpretation Please?

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Got my results a bit ago from my lumbar spine xrays taken yesterday.

Hopefully some one on this site can help decipher while I await my

Neuro's call.

INTERPRETATION

Vertebral body alignment normal.

Minimal anterior and posterior vertebral body osteophytes L3 through S1.

Mild degenerative facet disease L3-4, L4-5 and L5-S1.

Vascular calcifications.

IMPRESSION

Degenerative arthritis predominantly facet disease.

Most marked L4 through S1.

If symptoms persist and further evaluation is required, recommend a

follow up MRI.

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Hi Pat,

The alignment of your vertebral column is good and

rules out any subluxation or slippages.

The osteophytes are also known as bone spurs and these

for in arthritic areas as the bones rub on each other

and are subject to chronic inflammation.

" Minimal anterior and posterior vertebral body

osteophytes L3 through S1. " ...This means that your

lower three levels have some mild and early stage

arthritic bone spurs on the anterior (abdominal facing

side) and posterior (backside facing side) of those

vertebral bodies. This is less likly a cause of pain.

" Mild degenerative facet disease L3-4, L4-5 and

L5-S1. " ... This is where you " joint hinges " (like a

knee or elbow) have started to undergo the aging

process we know as degeneration. Eventiually these

facets will usually develop arthritis and bone spurs

which can be most painful. Because your nerve room

from the spinal cord runs through a canal next to the

facet joint, bone spurs here can cause tremendous

pain. The only way to tell this is with an MRI, which

is what the radiologist was suggesting. Just because

there is bone spurs or degeneration there does not

mean it's impinging on a nerve.

One way to tell if your pain is coming from your

facets is to bend backward a little then rotate your

upper torso to one side. If this causes sharp pain on

that side and just next to your spine, this is

indicative of facet arthropathy. Straighten and repeat

again on the other side. Does this bring on the same

pain you feel? Also, facet pain is just in the low

back, but can occasionally cause pain in the knee and

anterior thigh.

As far as vascular calcification goes, this is

probably in your aorta right at or just above your

iliac atereries. This is a common place for plaque to

form. Calcifications are a sign of atherosclerosis

" clogged arteries " . It would be beneficial for you to

pursue further investigation and an MRI and/or CT

scan.

Those with diabetes, menopause and osteoporosis may be

at increased risk.

Good luck,

--- pat040394 <ltpat228@...> wrote:

> Got my results a bit ago from my lumbar spine xrays

> taken yesterday.

>

> Hopefully some one on this site can help decipher

> while I await my

> Neuro's call.

>

>

> INTERPRETATION

> Vertebral body alignment normal.

> Minimal anterior and posterior vertebral body

> osteophytes L3 through S1.

> Mild degenerative facet disease L3-4, L4-5 and

> L5-S1.

> Vascular calcifications.

>

> IMPRESSION

> Degenerative arthritis predominantly facet disease.

> Most marked L4 through S1.

> If symptoms persist and further evaluation is

> required, recommend a

> follow up MRI.

>

>

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  • 2 years later...

On Wed, 8 Dec 2010 13:05:45 -0000, you wrote:

>

> " The adrenal cortex produces mostly, in this context, cortisone, our old

>friend cortisone and produces other hormones like dehydro

>corticosteroid all these hormones enable the body to deal

>with ongoing stress. The adrenal's production of this is controlled by

>hormone from the thyroid,

Not thyroid there, will be pituitary

>which as you probably know, is the adrenal

>cortiocotropic hormone

From http://en.wikipedia.org/wiki/ACTH_stimulation_test

>The ACTH stimulation test (also called the cosyntropin test, tetracosactide

test or Synacthen test) is a medical test usually ordered and interpreted by

endocrinologists to assess the functioning of the adrenal glands stress response

by measuring the adrenal response to adrenocorticotropic hormone (ACTH).[1][2]

ACTH is a hormone produced in the pituitary gland that stimulates the adrenal

glands to release cortisol.[2]

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